The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Shorehaven HLTH & Rehab CTR
OCONOMOWOC, WI · Medicare-certified · 88 beds
In good standing
Non-profit
5 of 5 overall
Shorehaven HLTH & Rehab CTR in Oconomowoc has an overall 5-star rating, with 5-star staffing and quality measures and 4-star health inspections. It reports nurse staffing above the federal benchmark (5.23 vs. 4.1 hours/resident/day), no fines in the last 24 months, and several recent inspection citations related to accidents, pressure ulcer care, and food handling.
Facility ratings
Health inspections
Staffing
5.2284 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2284.
Staffing detail
- Registered nurses
- 1.21
- Licensed practical nurses
- 0.82
- Nurse aides
- 3.19
- Weekend nursing
- 4.73
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.4%Improving
Residents with a fall causing major injury
1.1%Improving
Residents with pressure ulcers (bedsores)
0.3%Steady
Residents with a urinary tract infection
5.2%Improving
Residents who lost too much weight
3.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.7%Worsening
Residents whose ability to walk got worse
23.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
14.2%Improving
Short-stay residents newly given an antipsychotic
0.8%Steady
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
33.5%Improving
Residents with depressive symptoms
1.2%Steady
Long-stay residents given the seasonal flu vaccine
98.7%Steady
Long-stay residents given the pneumonia vaccine
94.9%Worsening
Short-stay residents given the seasonal flu vaccine
61.9%Steady
Short-stay residents given the pneumonia vaccine
83.5%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 13 days
Medicare/Medicaid payment denial
Jun 25, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 75.9 residents on an average day (86% of 88 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.